Instruments for evaluation of safety culture in primary health care: integrative review of the literature

This research aimed to conduct an investigation of the tools used to assess safety culture in the primary health care. Integrative review of the literature. We conducted a literature search using an instrument that included quantitative assessments of safety culture, using the following databases: CINAHL, ScienceDirect, PubMed, BIREME, and SciELO. Retrieved material comprised original articles published from 1998 to 2014, with titles and abstracts available in English, Portuguese, Spanish, and French. The search resulted in seven instruments; however, only three were primary healthcare focused. Most of the existing instruments for assessing safety culture have acceptable psychometric properties. The study serves as a source for students, workers, and researchers who want to know more about appropriate instruments for evaluating safety culture in primary care. •An integrative review of the literature is proposed.•Instruments to assess safety culture in primary care services are scarce.•The few instruments found have good psychometric properties.